Wagner, Jean Marie

Wagner, Jean Marie is an sole proprietor health care provider with primary practice located at 7580 160Th St W , Lakeville MN 55044-8348. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Wagner, Jean Marie can be contacted via phone (952) 564-6276.

Contact Information

Primary practice address
7580 160Th St W Lakeville MN 55044-8348
Phone: (952) 564-6276
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 3028 Minnesota

Profile Details

NPI number 1730629361
LBN Legal business name Wagner, Jean Marie
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2017
Last updated Mar 1st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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